Provider Demographics
NPI:1518355122
Name:HAMANN, MEREDITH LOUISE
Entity Type:Individual
Prefix:
First Name:MEREDITH
Middle Name:LOUISE
Last Name:HAMANN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:506 KENDALL ST
Mailing Address - Street 2:
Mailing Address - City:PORT ORCHARD
Mailing Address - State:WA
Mailing Address - Zip Code:98366-4307
Mailing Address - Country:US
Mailing Address - Phone:253-888-5627
Mailing Address - Fax:
Practice Address - Street 1:506 KENDALL ST
Practice Address - Street 2:
Practice Address - City:PORT ORCHARD
Practice Address - State:WA
Practice Address - Zip Code:98366-4307
Practice Address - Country:US
Practice Address - Phone:253-888-5627
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-05
Last Update Date:2015-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program